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New Hampshire rates for HCPCS 0177U

Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.81 / $676.36 / $1,923.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.56 / $172.56 / $214.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.10 / $502.39 / $1,071.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $178.63 / $178.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.26 / $1,004.31 / $1,205.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $398.89 / $905.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.54 / $147.91 / $246.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00